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目的探讨和评价腹部B超联合阴道B超诊断妇产科急腹症的应用价值。方法回顾性分析腹部B超和阴道B超检查156例妇产科急腹症患者的临床资料。结果经保守治疗、手术和病理确诊的156例妇产科急腹症患者中,经腹部B超诊断准确117例,漏诊7例,误诊32列,诊断符合率75.00%。经阴道B超诊断准确139例,漏诊2例,误诊15列,诊断符合率89.10%。联合应用腹部B超及阴道B超诊断准确率146例,漏诊2例,误诊7例,准确率达93.59%。结论腹部B超联合阴道B超可以提高妇产科急腹症的诊断准确率,为临床提供有价值的诊治依据,可作为妇产科急症首选的检查,且B超检查方便、实用、经济,易于在妇产科临床工作中推广,特别适合在基层医院中应用。
Objective To investigate and evaluate the value of abdominal ultrasound combined with vaginal ultrasonography in diagnosis of obstetrics and gynecology acute abdomen. Methods The clinical data of 156 patients with obstetrics and gynecology acute abdomen were retrospectively analyzed. Results Of the 156 obstetrics and gynecology patients with acute abdomen confirmed by conservative treatment, surgery and pathology, 117 were correctly diagnosed by abdominal ultrasonography, 7 were misdiagnosed, 32 were misdiagnosed, and the diagnostic coincidence rate was 75.00%. Transvaginal ultrasonography diagnosis of 139 cases accurately, 2 cases of missed diagnosis, misdiagnosed 15, the diagnostic accuracy rate of 89.10%. The combined application of abdominal ultrasonography and vaginal ultrasonography in the diagnosis of 146 cases of accuracy, missed diagnosis in 2 cases, misdiagnosed in 7 cases, the accuracy rate of 93.59%. Conclusions Abdominal B-ultrasound combined with vaginal B-ultrasound can improve the diagnostic accuracy of obstetrics and gynecology acute abdomen, provide valuable diagnosis and treatment basis for clinical and can be used as the first choice of obstetrics and gynecology emergency, and B-ultrasound is convenient, practical, economical, Easy to promote in the clinical work of obstetrics and gynecology, especially suitable for application in primary hospitals.